2MBChB Rheumatology + Orthopaedics Flashcards

1
Q

Most common bone tumour?

A

Osteosarcoma

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2
Q

A painful arc suggests damage to which rotator cuff muscle?

A

Supraspinatus

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3
Q

Nerve supply to trapezius?

A

Spinal accessory nerve

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4
Q

What is used to treat shaft of femur fractures?

A

Thomas splint

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5
Q

Which biologic causes reactivation of latent TB?

A

Infliximab

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6
Q

Tingling in ring + pinky finger suggests what?

A

Cubital tunnel syndrome

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7
Q

What is 1st line treatment of necrotising fasciitis?

A

Surgical debridement

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8
Q

Which rheumatoid drug causes black, tarry stool?

A

NSAID

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9
Q

Which rheumatoid drugs are nephrotoxic?

A

Gold

Penicilliamine

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10
Q

Visual loss, mouth and genital ulcers suggests what disease? In a Turkish guy perhaps?

A

Behcet’s syndrome

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11
Q

Which fracture typically produces a dinner fork deformity?

A

Colles fracture

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12
Q

Which structures may be damaged in Colles fracture?

A

Median nerve
Extensor pollicis longus
Carpal bones

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13
Q

Which fingers feel ‘funny’ in carpal tunnel syndrome?

A

Thumb
Index finger
Middle finger
Half of ring finger

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14
Q

How many XRAY views are taken for scaphoid fracture?

A

Two obliques
AP
Lateral

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15
Q

A patient presents with bone pain, deformity and deafness. What’s the likely differential?

A

Paget’s disease

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16
Q

Side effects of methotrexate?

A

Bone marrow suppression
Liver cirrhosis
Pneumonitis
Contraindicated in pregnancy

17
Q

Side effects of sulfasalazine?

A

Rash

Oligospermia

18
Q

Side effects of hydroxychloroquine?

A

Retinopathy

Corneal deposits

19
Q

Side effects of prednisolone?

A

Cushing’s syndrome
Osteoporosis
Impaired glucose tolerance
Cataracts

20
Q

Side effect of gold and penicillamine?

A

Proteinuria/nephropathy

21
Q

Pencil in cup XR

A

Psoriatic arthritis

22
Q

Wrist drop

A

Radial nerve palsy

23
Q

Arthritis + uveitis + urethritis

A

Reiter’s syndrome

24
Q

Foot drop

A

Common fibular/peroneal nerve

25
Q

Intracapsular hip fracture Rx

A

Hemiarthroplasty

26
Q

Sagging rope sign

A

AVN

27
Q

Onion-peel sign

A

Ewing sarcoma

28
Q

Sunray spiculation

A

Osteosarcoma

29
Q

Popcorn calcification

A

Chondrosarcoma

30
Q

Soap bubble XR

A

Giant cell tumour

31
Q

Rosary bead sign

A

Polyarteritis nodosa

32
Q

Shepherd’s crook deformity

A

Fibrous dysplasia